Evidence map›Paper›PMID 33837995›Full record

ArticlePediatric diabetes2021

Clinical features, biochemistry, and HLA-DRB1 status in youth-onset type 1 diabetes in Sudan.

Tomader Ali Mohammed Ibrahim, Denira Govender, Mohamed Ahmed Abdullah, Janelle Annette Noble, Mohammed Osman Hussien, Julie Ann Lane, Steven John Mack, Gregory George Noble Martin, Mark Alvin Atkinson, Clive Henry Wasserfall and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Trends in BMI in Latin American Children With New-Onset Type 1 Diabetes Over 3 Years.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Article
  5. Article
  6. Diabetes Study of Children of Diverse Ethnicity and Race: Study design.Diabetes/metabolism research and reviews · 2024
    Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Tomader Ali Mohammed IbrahimSudanese Children's Diabetes Association, Khartoum, Sudan.
Denira GovenderLife for a Child Program, Diabetes NSW, Glebe, New South Wales, Australia.
Mohamed Ahmed AbdullahSudanese Children's Diabetes Association, Khartoum, Sudan.ORCID 0000-0001-7121-8216
Janelle Annette NobleChildren's Hospital Oakland Research Institute, Oakland, California, USA.
Mohammed Osman HussienCentral Laboratory, Ministry of Higher Education and Scientific Research, Khartoum, Sudan.
Julie Ann LaneChildren's Hospital Oakland Research Institute, Oakland, California, USA.
Steven John MackDepartment of Pediatrics, University of California, San Francisco, Oakland, California, USA.
Gregory George Noble MartinChildren's Hospital Oakland Research Institute, Oakland, California, USA.
Mark Alvin AtkinsonDepartment of Pathology, Immunology and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, Florida, USA.
Clive Henry WasserfallDepartment of Pathology, Immunology and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, Florida, USA.
Graham David OgleLife for a Child Program, Diabetes NSW, Glebe, New South Wales, Australia.ORCID 0000-0002-2022-0866
The University of Sydney · AUUniversity of California, San Francisco · USUniversity of Florida · USMinistry of Higher Education And Scientific Research · SDSudan Childhood Diabetes Association · SDUniversity of Khartoum · SD

Funding

Integrated Exchange and Storage of Current- and Future-Generation Immunogenomic DataR01AI128775 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JILL Allison HOLLENBACH, STEVEN JOHN MACK · 2017 to 2026
$4.5M
NIAID NIH HHS R01 AI128775
6 · The paper itself

Abstract

objectiveTo further understand clinical and biochemical features, and HLA-DRB1 genotypes, in new cases of diabetes in Sudanese children and adolescents. RESEARCH DESIGN AND

methodsDemographic characteristics, clinical information, and biochemical parameters (blood glucose, HbA1c, C-peptide, autoantibodies against glutamic acid decarboxylase 65 [GADA] and insulinoma-associated protein-2 [IA-2A], and HLA-DRB1) were assessed in 99 individuals <18 years, recently (<18 months) clinically diagnosed with T1D. HLA-DRB1 genotypes for 56 of these Arab individuals with T1D were compared to a mixed control group of 198 healthy Arab (75%) and African (25%) individuals without T1D.

resultsMean ± SD age at diagnosis was 10.1 ± 4.3 years (range 0.7-17.6 years) with mode at 9-12 years. A female preponderance was observed. Fifty-two individuals (55.3%) presented in diabetic ketoacidosis (DKA). Mean ± SD serum fasting C-peptide values were 0.22 ± 0.25 nmol/L (0.66±0.74 ng/ml). 31.3% were autoantibody negative, 53.4% were GADA positive, 27.2% were IA-2A positive, with 12.1% positive for both autoantibodies. Association analysis compared to 198 controls of similar ethnic origin revealed strong locus association with HLA-DRB1 (p < 2.4 × 10

conclusionsYoung Sudanese individuals with T1D generally have similar characteristics to reported European-origin T1D populations. However, they have higher rates of DKA and slightly lower autoantibody rates than reported European-origin populations, and a particularly strong association with HLA-DRB1*03:01.

Indexed as

Diabetes Mellitus, Type 1AdolescentAge of OnsetAutoantibodiesBiomarkersCase-Control StudiesChildChild, PreschoolC-PeptideDiabetic KetoacidosisFemaleGenetic Predisposition to DiseaseGenotypeGlutamate DecarboxylaseHLA-DRB1 ChainsHumansAutoantibodiesBiomarkersC-PeptideGlutamate DecarboxylaseHLA-DRB1 Chainsautoantibodieschildhood diabetesC-peptideHLASudan

Identifiers

PMID33837995
PMCPMC8274711
OpenAlexW3139790247

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.